DR. JEFFREY IRA ELLIS (NPI# 1285748293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285748293 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY IRA ELLIS |
| Credential | M.D. |
| Practice Address |
358 S Oyster Bay Rd Hicksville NY 11801-3508 |
| Practice Telephone | 5168227546 |
| Practice Fax Number | 5169377546 |
| Mailing Telephone | 5168227546 |
| Mailing Fax Number | 5169377546 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2019-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 234545 | NY | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
234545 | NY | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
234545 | NY | Allopathic & Osteopathic Physicians |
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
234545-01 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518133198 | Jeffrey S Ellis | Marriage & Family Therapist | 2287 E Dudley St, Pasadena, CA 91104-4126 | 2008-05-05 |
| 1679691877 | Jeffrey Scott Ellis | Dentist | 160 S 100 W, Heber City, UT 84032-2015 | 2007-03-26 |
| 1417087719 | Jeffrey Mark Ellis | Dentist | 3237 Route 112, Bldg 6, Medford, NY 11763-1424 | 2007-03-06 |
| 1538698543 | Jeffrey Lee Ellis | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2017-06-05 |
| 1033454699 | Jeffrey Christian Ellis | Physician Assistant | Psc 836 Box 2670, Fpo, AE 09636-9998 | 2012-12-07 |
| 1790987816 | Jeffrey W Ellis | Student in an Organized Health Care Education/Training Program | Children's Hospital Guidance Center, 187 W. Schrock Rd, Westerville, OH 43081 | 2007-06-01 |
| 1093860090 | Jeffrey Warren Ellis | Obstetrics & Gynecology | 2701 Meredyth Dr, Albany, GA 31707-2267 | 2007-01-23 |
| 1326142035 | Jeffrey L Ellis | Pathology | 222 Medical Cir, Morehead, KY 40351-1179 | 2006-09-12 |
| 1932171154 | Jeffrey B Ellis | Internal Medicine | 1425 Horsham Rd, Medical Suite, North Wales, PA 19454-1320 | 2006-02-02 |
| Street Address |
358 S OYSTER BAY RD |
| City | HICKSVILLE |
| State | NY |
| Zip Code | 11801-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356354203 | Amy Elizabeth Slear | Dermatology | 358 S Oyster Bay Rd, Hicksville, NY 11801-3508 | 2006-08-14 |
| 1831443183 | Mona Avishay | Physician Assistant | 358 S Oyster Bay Rd, Hicksville, NY 11801-3508 | 2012-11-07 |
| 1225237886 | Belaray Dermatology PC | Dermatology | 358 S Oyster Bay Rd, Hicksville, NY 11801-3508 | 2007-07-13 |
| 1295873826 | Rachel Fremder Ellis | Ophthalmology | 358 S Oyster Bay Rd, Hicksville, NY 11801-3508 | 2007-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588296222 | Princy John | Registered Nurse | 19 Utica Ave, Hicksville, NY 11801 | 2020-02-11 |
| 1558920314 | Alvin Varkey | Registered Nurse | 1 Hastings Lane, Hicksville, NY 11801 | 2019-06-06 |
| 1033680152 | Chaolin Fu | Physical Therapist | 4 Savoy Place, Hicksville, NY 11801 | 2018-12-16 |
| 1902373954 | Linda Alagna | Massage Therapist | 21 Michigan Dr, Hicksville, NY 11801 | 2018-10-29 |
| 1336621523 | Christina Doyle | Early Intervention Provider Agency | 22 April Lane, Hicksville, NY 11801 | 2018-09-04 |
| 1376023325 | Jessica Lyons | Specialist | 128 5th Ave, Hicksville, NY 11801 | 2018-08-20 |
| 1881180404 | Laura Veronica Cevallos | Early Intervention Provider Agency | 67 Lee Ave, Hicksville, NY 11801 | 2018-07-06 |
| 1942719810 | David Collins | Behavioral Analyst | 431 Division Avenue, Hicksville, NY 11801 | 2017-09-23 |
| 1285159756 | James Daconti | Social Worker | 100 Duffy Ave Ste 510, Hicksville, NY 11801 | 2017-08-07 |
| 1306376918 | Emily Miracolo | Specialist | 9 Waters Ave, Hicksville, NY 11801 | 2017-06-15 |
| Find all providers in zip 11801 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835364 | Skin & Aesthetic Surgery of Manhattan | Dermatology | 120 E 56th St # 1500, New York, NY 10022-3607 | 2020-09-14 |
| 1710443015 | Robert Paul Cipolla | Dermatology | 48 Cordelia Ave, Staten Island, NY 10309-3434 | 2019-02-12 |
| 1861889552 | Miriam R Lieberman | Dermatology | 2003 Avenue J Ste 1c, Brooklyn, NY 11210-3605 | 2015-04-20 |
| 1417206459 | Brett Marsh Dolgin | Dermatology | 255 Great Neck Rd Apt Ph15, Great Neck, NY 11021-3358 | 2012-09-06 |
| 1700149077 | Meghan Anne Feely | Dermatology | 300 E 75th St, 18l, New York, NY 10021-0216 | 2012-06-20 |
| 1487936308 | Union Square Laser Dermatology | Dermatology | 19 Union Sq W Fl 5, New York, NY 10003-3304 | 2011-09-16 |
| 1073764809 | William Jay Greenberg | Dermatology | 301 E 81st St, New York, NY 10028-4033 | 2008-10-10 |
| 1073780540 | Lewis M. Dubroff, M.d.,p.c. | Dermatology | 475 Irving Ave Ste 314, Syracuse, NY 13210-1528 | 2008-05-13 |
| 1992983456 | Jared Jagdeo | Dermatology | 450 Clarkson Ave Fl 8, Brooklyn, NY 11203-2012 | 2008-02-07 |
| 1437339447 | Mary Louise Lenahan | Dermatology | 9388 Transit Rd, East Amherst, NY 14051-1494 | 2007-11-07 |
| Find all providers with the same taxonomy | ||||
| City | HICKSVILLE |
| Zip Code | 11801 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.